| Mcdonald And Manus Llp | |
|
1010 Prince Ave Suite 103 South Athens GA 30606-5805 | |
| (706) 548-0604 | |
| Not Available |
| Full Name | Mcdonald And Manus Llp |
|---|---|
| Speciality | Dentist |
| Location | 1010 Prince Ave, Athens, Georgia |
| Authorized Official Name and Position | James J Mcdonald Jr. (ORAL SURGEON) |
| Authorized Official Contact | 7065480604 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcdonald And Manus Llp 1010 Prince Ave Suite 103 South Athens GA 30606-5805 Ph: (706) 548-0604 | Mcdonald And Manus Llp 1010 Prince Ave Suite 103 South Athens GA 30606-5805 Ph: (706) 548-0604 |
| NPI Number | 1215198221 |
|---|---|
| Provider Enumeration Date | 06/23/2008 |
| Last Update Date | 06/23/2008 |
| Medicare PECOS PAC ID | 5991868937 |
|---|---|
| Medicare Enrollment ID | O20090116000283 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215198221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Richard C Manus |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1033241104 PECOS PAC ID: 9436212479 Enrollment ID: I20090116000334 |
| Provider Name | James J Mcdonald |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1770615825 PECOS PAC ID: 8224198205 Enrollment ID: I20090116000385 |
| Provider Name | Tim C Jaeger |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1386038396 PECOS PAC ID: 3072840149 Enrollment ID: I20190812003932 |
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